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Publications (36)2.34 Total impact
- 11/2015; 24(1):135. DOI:10.17827/aktd.96057
Article: Ağrı Kesici Olarak Topikal İlaçlar11/2015; 24(1). DOI:10.17827/aktd.77851
Article: Oral mucosal diseases in anxiety and depression patients: Hospital based observational study from south India[Show abstract] [Hide abstract]
ABSTRACT: The objective of this study was to evaluate the prevalence of different Oral Mucosal diseases in Anxiety and Depression patients. A hospital based observational Study was conducted in the department of Psychiatry and department of Oral Medicine and Radiology. Patients who were diagnosed with Anxiety or Depression by the psychiatrists using Hamilton Anxiety and Depression scale were subjected to complete oral examination to check for oral diseases like Oral Lichen Planus (OLP), Recurrent Aphthous Stomatitis (RAS), and Burning Mouth Syndrome (BMS). Equal number of control group subjects were also included. In this study statistically significant increase in the oral diseases in patients with anxiety and depression than the control group was recorded. Oral diseases were significantly higher in anxiety patients (20.86%) than in depression (9.04%) and control group patients (5.17%). In anxiety patients, the prevalence of RAS was 12%, OLP was 5.7%, and BMS was 2.87%. In depression patients, the prevalence of RAS was 4.02%, OLP was 2.01% and BMS was 3.01%. In control group the prevalence was 2.2%, 1.33% and 1.62% in RAS, OLP and BMS respectively. RAS and OLP were significantly higher in the younger age group (18-49) and BMS was seen between the age group of 50-77 years in both study and control groups. The results of the present study showed a positive association between psychological alterations and changes in the oral mucosa, particularly conditions like OLP, RAS and BMS. Thus psychogenic factors like anxiety and depression may act as a risk factor that could influence the initiation and development of oral mucosal diseases. Hence psychological management should be taken into consideration when treating patients with these oral diseases. Key words:Lichen planus, anxiety, depression, burning mouth syndrome, recurrent aphthous stomatitis.Journal of Clinical and Experimental Dentistry 02/2015; 7(1):95-9. DOI:10.4317/jced.51764
- 01/2015; DOI:10.5455/bmmr.174437
Article: Transcutaneous electrical nerve stimulation therapy: An adjuvant pain controlling modality in TMD patients — A clinical study[Show abstract] [Hide abstract]
ABSTRACT: The use of transcutaneous electrical nerve stimulation (TENS) in dentistry was first described in 1967, by Shane and Kessler, but it has yet to gain widespread acceptance in dentistry. A study was undertaken to evaluate the effectiveness of TENS therapy as an adjuvant modality and to compare it with the conventional medication in controlling pain in temporomandibular disorder (TMD) patients. The study was carried out in the Department of Oral Medicine and Radiology, Yenepoya Dental College and Hospital, Mangalore. A total of 40 patients with the clinical symptom of pain associated with TMDs were randomly divided into two groups. Group A (control) patients were treated with medication (analgesics and muscle relaxants) alone, while group B patients were treated with TENS therapy in combination with medication. The intensity of the pain was assessed using the Visual Analog Scale (VAS). The results were analyzed with the student's 't' test. A P-value < 0.05 was considered as significant. A significant improvement was observed in both the TENS and the control group in terms of pain control. On comparative analysis, adjuvant TENS therapy was found to be more effective than medication alone, in controlling pain. (P value = 0.019). The observed data suggest that TENS therapy can be used as an adjuvant modality in the management of pain associated with TMDs. This study justifies the use of TENS therapy in the management of TMD.Dental research journal 11/2014; 11(6):676-9.
- [Show abstract] [Hide abstract]
ABSTRACT: Papillon-Lefevre Syndrome (PLS) is a rare autosomal recessive genodermatosis characterized by palmar-plantar hyperkeratosis, and destructive periodontitis. It is transmitted with an estimated frequency of one to four per million individuals. The two hallmarks of the syndrome, dermatological lesions and destructive periodontitis, are known to occur as an independent diseases. We present a unique case of Papillon-Lefevre syndrome in a 28 years old woman with its pathognomonic dermatological features without oral features.Journal of the College of Physicians and Surgeons--Pakistan: JCPSP 11/2014; 24(11):S230-S232. · 0.35 Impact Factor
Article: Diş Hekimliği Kliniğindeki Radyografik Bakış Açısıyla Baş Boyun Bölgesindeki Endokrin Bozukluklar06/2014; 23(2). DOI:10.17827/aktd.80279
Article: Transplant Hastalarında Diş Sağlığı06/2014; 23(2). DOI:10.17827/aktd.93406
- [Show abstract] [Hide abstract]
ABSTRACT: Intramuscular cavernous hemagiomas represent less than 1% of all hemangiomas and consist of benign proliferations of blood vessels. Typical presentation is an enlarging painful soft-tissue mass without cutaneous changes. We report a case of cavernous hemangioma of the buccinator muscle presenting as an asymptomatic unilateral swelling. The rarity of a cavernous hemangioma in such a location and its presentation as a unilateral swelling without cutaneous changes made the case unique. In addition we highlight the MRI features that guided us to arrive at a diagnosis.
Article: Occurrence of epidermolysis bullosa along with Amelogenesis imperfecta in female patient of India[Show abstract] [Hide abstract]
ABSTRACT: Epidermolysis bullosa (EB) is an inherited disorder, which is characteristically presented as skin blisters developing in response to minor injury. Junctional variety of EB is also associated with enamel hypoplasia. Amelogenesis imperfecta presents with abnormal formation of the enamel both in deciduous and permanent dentition. This article describes a previously unreported case of Amelogenesis imperfecta with complete loss of enamel in a young female patient with EB.Dental research journal 11/2013; 10(6):813-6.
Article: Mandibular ameloblastic carcinoma[Show abstract] [Hide abstract]
ABSTRACT: Ameloblastic carcinoma is a rare aggressive odontogenic tumour that exhibits malignant histologic features in the primary site or in metastasis. This rare tumour needs immediate attention because of its aggressive and infiltrative nature. However, there are controversies regarding the definitive treatment because of the very few cases in the literature database. Here, we report a case of a 64-year-old male Asian patient who presented with a non-tender exophytic proliferative mass of 3 months duration. It was finally diagnosed as ameloblastic carcinoma and promptly treated surgically with a regular follow-up. Local long-term control and follow-up is imperative in such patient laying emphasis on potential pulmonary metastasis.09/2013; 23(9):670-2.
Article: Efficacy of spirulina as an antioxidant adjuvant to corticosteroid injection in management of oral submucous fibrosis[Show abstract] [Hide abstract]
ABSTRACT: Background and objectives: Oral submucous fibrosis (OSF) is a chronic condition of the oral cavity which results in permanent disability. A number of studies have proven that the management of premalignant diseases should include antioxidants. Therefore, a study was carried out to evaluate the efficacy of spirulina as an antioxidant adjuvant to corticosteroid injections in the management of 40 oral submucous fibrosis subjects of south Karnataka and north Kerala. Materials and methods: An intervention study was conducted on 40 oral submucous fibrosis cases, 40 patients were divided into two groups, group A (spirulina group) and group B (placebo group). Group A received spirulina 500 mg twice daily and biweekly intralesional steroid injection of Betamethasone 4 mg/ml for 3 months and group B was given placebo capsules twice daily and biweekly intralesional steroid injection of Betamethasone 4 mg/ml for 3 months. The results were analyzed with the paired "t" test and the unpaired "t" test. Results: Clinical improvements in mouth opening was significant in the posttreatment period in both Spirulina and placebo groups. Both the groups showed statistically significant reduction in burning sensation. However, when both groups were compared, mouth opening and burning sensation was found to be statistically very highly significant in favor of the spirulina group. Conclusion: Spirulina can bring about clinical improvements in OSF patients. The observed effects suggest that spirulina can be used as an adjuvant therapy in the initial management of OSF patients. However, studies involving larger samples and longer period of treatment follow up are suggested in the future.Indian journal of dental research: official publication of Indian Society for Dental Research 05/2013; 24(3):347-50. DOI:10.4103/0970-9290.118001
Article: Aarskog-Scott Syndrome.05/2013; 23(5):378-380.
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ABSTRACT: The present review article aims at discussing the various trends evolved in forensic dentistry, particularly referring with the usage of radiographs. Since the radiographs are the quick, easy, simple, economical and non-destructive method of obtaining information about age, sex, race of the victim, it is an indispensable aid in identification. With the advancement of newer technologies, more accurate information is obtained for identification as well as in the facial reconstruction of the unknown deceased person. This article gives an overview of different radiographic methodology and characteristics for identification in oral and craniofacial region. To obtain the most reliable outcome in identification it is necessary that one applies most of these techniques repetitively with appropriate knowledge.Journal of Forensic Radiology and Imaging 04/2013; 1(2):56–62. DOI:10.1016/j.jofri.2012.12.001
Article: PACIFIC JOURNAL OF MEDICAL SCIENCES {Formerly: Medical Sciences Bulletin} ISSN: 2072 – 1625 FOREIGN BODY PENETRATION: A MISSED DIAGNOSIS
Article: Field cancerization: A review01/2013; 1(2):136. DOI:10.4103/2321-4848.123026
Article: Oral Mucocele-A Mini Review[Show abstract] [Hide abstract]
ABSTRACT: Mucoceles are the common salivary gland disorder which can be present in the oral cavity, appendix, gall bladder, paranasal sinuses or lacrimal sac. Common location for these lesions in the oral cavity is lower lip however, it also presents on other locations like tongue, buccal mucosa, soft palate, retromolar pad and lower labial mucosa. Trauma and lip biting habits are the main cause for these types of lesions. These are painless lesions which can be diagnosed clinically. Copyright: © 2013 Bortoluzzi MC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
- 12/2012; 36(1). DOI:10.3329/bjch.v36i1.13041
- North American Journal of Medical Sciences 12/2012; 4(12):662-4. DOI:10.4103/1947-2714.104324
- North American Journal of Medical Sciences 11/2012; 4(11):586-9. DOI:10.4103/1947-2714.103322
Top Journals
Yenepoya University
Mangalur, Karnataka, India
- Department of Oral Medicine and Radiology
A.B. Shetty Memorial Institute of Dental Science
Mangalur, Karnataka, India
- Department of Oral Medicine and Radiology


text:
SoMa StrEat Food ParkApril 21, 2013Street Food Gathering • San Francisco, United States
Go to Kung Fu Taco. Best tacos ever... and say hi to Kim.
Go to Kung Fu Taco. Best tacos ever... and say hi to Kim.
Fins on the hoof ran out of bacon for the oyster sandwich but they're still charging $12. Boooooo
Food service at the bar was slow and our food was cold.
Drinks are way too expensive. Get your drink on in the car.
If you need leg room, theatre five is where it's at.
Cello Kebab and Pizza is open until 9pm if you need a bite to eat during break.
Shanti, Erwin, and Jeff are the bomb ass bartenders. Tip them well!!
Hello kitty rocks the party!
Try the blueberry lemon drop. Make sure Stephanie makes it.
This is where you go if you're on a budget. Good food for cheap.
They stay open until 6pm.
Coffee is a lot better than USA gas station up the street.
They charge at the door even if you plan on eating dinner. The food isn't worth it. Get a hot dog up the street and listen to the music from outside.

subset: commoncrawl


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Hepatitis Outbreak Investigation
Updated: 03/06/2008 - State lawmakers try to find answers to the Hepatis A outbreak at the Endoscopy Center in Las Vegas.
Updated: 03/06/2008 - State lawmakers try to find answers to the Hepatis A outbreak at the Endoscopy Center in Las Vegas.
Updated: 03/06/2008 - A man who lured two boys through the Internet and sexually assaulted one of them has been sentenced in Reno to two life terms in prison.
Posted: 03/06/2008 - A college student is in custody after authorities say they found explosive devices on campus.
Posted: 03/06/2008 - Home foreclosures soared to an all-time high in the final quarter of last year, underscoring the suffering of distressed homeowners and the growing danger the housing meltdown poses for the economy.
Posted: 03/05/2008 - Exports from Nevada in 2007 reached $5.7 billion, up more than 4% over 2006 exports according to data released by the U.S. Department of Commerce and distributed through the Nevada Commission on Economic Development (NCED).
Posted: 03/05/2008 - On Sunday the Sparks Police Department initiated a missing person's report for Maurice Manley.
Posted: 03/05/2008 - KOLO 8 weatherman, Dennis Flack, entered a local celebrity poker competition and won!
Posted: 03/05/2008 - Former NBA star Kevin Johnson is jumping into the Sacramento mayor's race.
Posted: 03/05/2008 - Rep. Dean Heller's office said any decision on the future of earthquake-damaged buildings in the historical district of downtown Wells would be made by local health and safety officials - not the federal government.
Posted: 03/05/2008 - Steve Ranson, sports editor at the Lahontan Valley News and Fallon Eagle Standard, has been named the new editor of the northern Nevada newspaper, publisher Keven Todd said Wednesday.
Posted: 03/05/2008 - Using the initiative process to push through a tax increase in Nevada would become more difficult under a new ballot proposal to require approval two-thirds of those voting on such plans.
Updated: 03/05/2008 - Instructors Hope Classic Aircraft Will Usher In New Era
Updated: 03/06/2008 - A zoning change request in South Reno has neighbors riled up. Reno-based development company called "M-T-K Limited" wants to re-zone an empty horse pasture near Virginia Lake, allowing them to build multi-family housing there.
Updated: 07/11/2008 - The Nevada GOP called Wednesday for unity behind John McCain now that he's Republican nominee for president, but key state Democrats remained split following Tuesday's primaries that kept Hillary Clinton and Barack Obama in a tight race.
Posted: 03/05/2008 - A research project aimed at martens has turned up a bigger prize: a picture of a wolverine - an elusive animal scientists thought had been driven out of the Sierra Nevada long ago by human activity.
Updated: 03/05/2008 - Rep. Dean Heller's office said any decision on whether earthquake-damaged buildings in the historical district of downtown Wells would be made by health and safety officials - not the federal government.
Posted: 03/05/2008 - Smithridge Elementary and Pine Middle School were locked down for about 90 minutes Wednesday morning. Witnesses say a student brought a toy gun to campus.
Updated: 03/05/2008 - Federal job discrimination complaints filed by workers against private employers shot up 9% last year, the biggest annual increase since the early 1990s.
Posted: 03/05/2008 - Sandy Murphy and Rick Tabish have lost Nevada Supreme Court bids to overturn their convictions for felony conspiracy, burglary and grand larceny in the theft of a silver fortune from Murphy's former live-in boyfriend, casino mogul Ted Binion.
Posted: 03/05/2008 - A Sparks teenager is in intensive care at Renown after police say she lost control of her jeep and crashed late yesterday evening.
Updated: 03/06/2008 - Nevada's first woman law enforcement officer killed in the line of duty was remembered Wednesday as a devoted wife and loving mother as well as a "cop's cop" with a "tempered toughness" who was fearless in her job.
Updated: 03/09/2008 - Even though the Reno City Council decided to limit truck stops to industrial districts, and require them to be at least a quarter mile from residentially-zoned areas, a truck stop may still be built in Northwest Reno.
Updated: 03/04/2008 - Local clincis feel fall out of Hepatitis outbreak at Las Vegas Endoscopy Center.
Updated: 03/04/2008 - While the investigation into that murder continues, local friends and family of dead soldier Timothy Miller are grieving. Miller grew up in The Ranchos neighborhood of Gardnerville, and lived there until he joined the Army ten years ago. While growing up, friends and family say he was better known by the name "Timothy Gray." When he joined the service, he took his paternal father's last name.
Posted: 03/04/2008 - A Minden woman convicted of killing her husband and dumping his body in the desert in 2006 was sentenced Tuesday to life in prison with the possibility of parole.


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text:
Page 1
Acute coronAry SyndromeS, PArt II
Mayo Clin Proc. • November 2009;84(11):1021-1036 • www.mayoclinicproceedings.com
For personal use. Mass reproduce only with permission from Mayo Clinic Proceedingsa
SymPoSIum on cArdIovASculAr dISeASeS
From the Department of Hospital Medicine, University of Massachusetts
Medical School, Worcester (A.K.); and Cardiovascular Division, Department of
Medicine, Brigham & Women's Hospital and Harvard Medical School, Boston,
Dr Cannon is a senior investigator for the Thrombolysis in Myocardial Infarction
Study Group. He has received research grants and support from Accumetrics,
AstraZeneca, Bristol-Myers Squibb/Sanofi Pharmaceuticals Partnership, Glaxo-
SmithKline, Merck, and the Merck/Schering Plough Partnership. He is also a
clinical advisor and has equity interest in Automedics Medical Systems.
Address correspondence to Amit Kumar, MD, Department of Hospital Medi-
cine, University of Massachusetts Medical School, 55 Lake Ave N, Worces-
ter, MA 01655 (firstname.lastname@example.com). Individual reprints of this article and
a bound reprint of the entire Symposium on Cardiovascular Diseases will be
available for purchase from our Web site www.mayoclinicproceedings.com.
© 2009 Mayo Foundation for Medical Education and Research
Acute Coronary Syndromes: Diagnosis and Management, Part II
Amit Kumar, MD, and Christopher P. Cannon, MD
On completion of this article, you should be able to: (1) identify the optimal reperfusion strategy for ST-segment elevation
myocardial infarction in a given clinical scenario and recognize the importance of adjunctive pharmacological therapies,
(2) list the various stress test methods for detection of significant coronary artery stenoses, and (3) discuss the relative risks
and benefits of percutaneous coronary intervention and coronary artery bypass grafting.
evation myocardial infarction (STEMI) is characterized
by total occlusion of the infarct-related artery. Evidence
from several randomized clinical trials during the past 2
decades has established the importance of the open artery
theory, which states that prompt and complete restoration
of flow in the occluded artery decreases infarct size, pre-
serves left ventricular (LV) function, and improves sur-
vival rates.1 Two types of strategies are currently available
for the judicious establishment of coronary reperfusion:
pharmacological (fibrinolysis) and mechanical (primary
percutaneous coronary intervention [PCI]).2,3 Regardless
of the mode of reperfusion, the overarching concept is to
minimize total ischemic time, which is defined as the time
from the onset of symptoms of STEMI to the initiation of
reperfusion therapy. The 2004 STEMI guidelines from the
American College of Cardiology (ACC) and the American
Heart Association (AHA)4 and the 2007 focused update of
these guidelines5 recommend that all patients with STEMI
undergo rapid assessment for reperfusion therapy and that
a reperfusion strategy be implemented promptly after the
patient's contact with the medical system. The goal is to
initiate fibrinolytic therapy within 30 minutes (door-to-
needle time or first medical contact–to-needle time) and to
achieve intracoronary balloon inflation within 90 minutes
(door-to-balloon time or first medical contact–to-balloon
time) of the patient's arrival at the hospital or first contact
with the medical system.
nlike unstable angina/non–ST-segment elevation myo -
cardial infarction (UA/NSTEMI), ST-segment el-
An overview of the results of 9 trials by the Fibrinolytic
Therapy Trialists' Collaborative Group comparing the out-
comes of patients undergoing fibrinolytic therapy and those
of controls demonstrated statistically significant absolute
reductions in 35-day mortality rates of approximately 30
per 1000 for patients who arrived at the hospital within 6
hours of the onset of symptoms and of approximately 20 per
At the most severe end of the spectrum of acute coronary syn-
dromes is ST-segment elevation myocardial infarction (STEMI),
which usually occurs when a fibrin-rich thrombus completely
occludes an epicardial coronary artery. The diagnosis of STEMI
is based on clinical characteristics and persistent ST-segment
elevation as demonstrated by 12-lead electrocardiography. Pa-
tients with STEMI should undergo rapid assessment for reperfu-
sion therapy, and a reperfusion strategy should be implemented
promptly after the patient's contact with the health care system.
Two methods are currently available for establishing timely coro-
nary reperfusion: primary percutaneous coronary intervention and
fibrinolytic therapy. Percutaneous coronary intervention is the
preferred method but is not always available. Antiplatelet agents
and anticoagulants are critical adjuncts to reperfusion. This ar-
ticle summarizes the current evidence-based guidelines for the
diagnosis and management of STEMI. This summary is followed
by a brief discussion of the role of noninvasive stress testing in
the assessment of patients with acute coronary syndrome and
their selection for coronary revascularization.
Mayo Clin Proc. 2009;84(11):1021-1036
ACC = American College of Cardiology; ACE = angiotensin-converting
enzyme; ACS = acute coronary syndrome; AHA = American Heart As-
sociation; APTT = activated partial thromboplastin time; ASSENT = As-
sessment of the Safety of a New Thrombolytic; CABG = coronary artery
bypass grafting; CAD = coronary artery disease; CCTA = coronary com-
puted tomographic angiography; CHF = congestive heart failure; CLAR-
ITY = Clopidogrel as Adjunctive Reperfusion Therapy; ECG = electrocar-
diography; GP = glycoprotein; GUSTO = Global Utilization of Strategies
to Open Occluded Arteries; HF = heart failure; ICH = intracerebral hem-
orrhage; IV = intravenous; LBBB = left bundle branch block; LMWH =
low -molecular-weight heparin; LV = left ventricular; LVEF = LV ejection
fraction; MI = myocardial infarction; NSTEMI = non –ST-segment eleva-
tion MI; NTG = nitroglycerin; PCI = percutaneous coronary intervention;
STEMI = ST-segment elevation MI; TIMI = Thrombolysis in Myocardial
Infarction; UA = unstable angina; UFH = unfractionated heparin
Page 2
Acute coronAry SyndromeS, PArt II
Mayo Clin Proc. • November 2009;84(11):1021-1036 • www.mayoclinicproceedings.com
For personal use. Mass reproduce only with permission from Mayo Clinic Proceedingsa
1000 for patients who arrived 7 to 12 hours after the onset
of symptoms.6 Benefit was observed among patients with
ST-segment elevation or left bundle branch block (LBBB)
at the time of presentation, irrespective of age, sex, blood
pressure, heart rate, or a history of myocardial infarction
(MI) or diabetes. The greatest benefit was observed among
patients with LBBB or anterior STEMI (Figure 1).
Fibrinolytic therapy is currently indicated, in the absence
of contraindications (Table 1), for patients with STEMI
who have experienced symptom onset within the previous
12 hours and in whom electrocardiography (ECG) dem-
onstrates ST-segment elevation of more than 0.1 mV in at
least 2 contiguous precordial leads or at least 2 adjacent limb
leads, or new or presumably new LBBB.4
The fibrinolytic agents currently approved for treating
patients with STEMI include streptokinase, alteplase, re-
teplase, and tenecteplase (Table 2). The TIMI (Thromboly-
sis in Myocardial Infarction), phase 1 trial randomly as-
signed 290 patients with evolving acute MI to alteplase (the
first tissue plasminogen activator to be produced through
recombinant DNA technology) or to streptokinase. Al-
teplase was far superior in achieving coronary reperfusion;
twice as many occluded infarct-related arteries opened af-
ter 90 minutes with alteplase than with streptokinase.7 The
FIGURE 1. Effect of fibrinolytic therapy on mortality risk according
to findings on admission electrocardiography. ANT ST = anterior ST-
segment; BBB = bundle branch block; INF ST = inferior ST-segment;
ST DEP = ST-segment depression.
From Lancet,6 with permission from Elsevier.
Lives saved per thousand
TABLE 1. Contraindications and Cautions for Fibrinolysis
as Treatment for Patients With ST-Segment Elevation
Myocardial Infarction
Absolute contraindications
Any previous ICH
Known structural cerebrovascular lesion (eg, arteriovenous
Known malignant intracranial neoplasm (primary or metastatic)
Ischemic stroke within 3 mo, except for acute ischemic stroke within
3 h
Suspected aortic dissection
Active bleeding or bleeding diathesis (excluding menses)
Severe closed-head or facial trauma within 3 mo
Relative contraindications
History of chronic, severe, poorly controlled hypertension
Severe uncontrolled hypertension on presentation (SBP ≥180 mm Hg
or DBP ≥110 mm Hg)
History of ischemic stroke more than 3 mo previously, dementia, or
known intracranial pathology not included in contraindications
Traumatic or prolonged (>10 min) CPR or major surgery (<3 wk
Recent (within 2-4 wk) internal bleeding
Noncompressible vascular punctures
For streptokinase/anistreplase: previous exposure (>5 d previously)
or previous allergic reaction to these agents
Active peptic ulcer
Current use of anticoagulants: the higher the INR, the higher the risk
of bleeding
CPR = cardiopulmonary resuscitation; DBP = diastolic blood pressure;
ICH = intracerebral hemorrhage; INR = international normalized ratio;
SBP = systolic blood pressure.
From J Am Coll Cardiol,4 with permission from Elsevier.
TABLE 2. Properties of Approved Fibrinolytic Agents
Fibrinolytic agent
Streptokinase Alteplase Reteplase Tenecteplase
Mean plasma half-life (min)
Mean plasma clearance (mL/min)
Mode of administration
Weight-adjusted dosing
Fibrin specificityc
Thrombosis in Myocardial Infarction
grade 3 flow at 90 min (% of patients)
Cost per dose ($)
Infusion for
30-60 min
1.5 mega units
Bolus + infusion
for 90 min
≤100 mga
Double bolus
30 min apart
Single bolus
30-50 mgb
2833 for 50 mg
a Bolus = 15 mg; infusion = 0.75 mg/kg for 30 min (maximum, 50 mg), then 0.5 mg/kg (maximum, 35 mg) for the next
60 min, to an overall maximum of 100 mg.
b The weight-adjusted doses were as follows: <60 kg, 30 mg; 60-69 kg, 35 mg; 70-79 kg, 40 mg; 80-89 kg, 45 mg; and
≥90 kg, 50 mg.
c Semiquantitative scale based on depletion of fibrinogen and other measures of systemic anticoagulation.
Page 3
Acute coronAry SyndromeS, PArt II
Mayo Clin Proc. • November 2009;84(11):1021-1036 • www.mayoclinicproceedings.com
For personal use. Mass reproduce only with permission from Mayo Clinic Proceedingsa
GUSTO (Global Utilization of Strategies to Open Occluded
Arteries)-I trial, which involved more than 40,000 patients,
compared the clinical efficacy of accelerated alteplase with
that of streptokinase.8 The 30-day mortality rates were sig-
nificantly lower with accelerated alteplase (6.3%) than with
streptokinase (7.3%; relative risk reduction, 14%; P=.001).
Newer fibrin-specific lytic agents have longer half-lives and
can be administered as bolus agents; although these agents
have demonstrated no further improvements in survival,
they offer the convenience of easier administration and can
be delivered more rapidly in the emergency department.
The GUSTO-III trial found no significant difference in
30-day mortality rates among patients treated with reteplase
(7.47%) and those treated with accelerated alteplase (7.24%;
P=.54).9 Tenecteplase therapy was assessed in the ASSENT
(Assessment of the Safety of a New Thrombolytic)-2 trial,
which randomly assigned 16,949 patients to weight-based
single-bolus tenecteplase or to accelerated alteplase infu-
sion.10 The 30-day mortality rates were virtually identical;
this outcome met the predefined criteria for equivalence.
As a single-bolus agent, tenecteplase has become the most
widely used fibrin-specific agent.
Primary PCi
A meta-analysis of 23 randomized clinical trials that com-
pared primary PCI with fibrinolytic therapy demonstrated
that PCI was better than fibrinolysis in reducing the inci-
dence of short-term and long-term adverse outcomes, in-
cluding death (Figure 2).3 Although the clinical superior-
ity of primary PCI is clear, the main challenge lies in the
ability to implement such a strategy promptly (maintaining
a first medical contact–to-balloon time of <90 minutes).
A multivariate adjusted analysis found that, for patients
undergoing primary PCI, increases in the door-to-balloon
time (especially by >2 hours) were associated with higher
mortality rates (Figure 3).11
The ACC/AHA guidelines state that the selection of ei-
ther fibrinolysis or primary PCI as the appropriate reperfu-
SHOCK data
or stroke
Frequency (%)
Frequency (%)
Thrombolytic therapy
FIGURE 2. Short-term (top) and long-term (bottom) clinical outcomes of patients treated with either primary
percutaneous transluminal coronary angioplasty (PTCA) or thrombolytic therapy. MI = myocardial infarction;
SHOCK = Should We Emergently Revascularize Occluded Coronaries for Cardiogenic Shock? An asterisk indicates
that data are unavailable.
From Lancet,3 with permission from Elsevier.
Page 4
Acute coronAry SyndromeS, PArt II
Mayo Clin Proc. • November 2009;84(11):1021-1036 • www.mayoclinicproceedings.com
For personal use. Mass reproduce only with permission from Mayo Clinic Proceedingsa
sion strategy should depend on the clinical scenario (Table
3).4,5 Primary PCI, with or without stenting, is generally
preferable if it is rapidly available because it yields better
outcomes than fibrinolysis.
Time Since Onset of Symptoms. The effectiveness
of both fibrinolytic therapy and primary PCI diminishes
with the passage of time12,13; however, the ability of PCI to
produce a patent infarct-related artery is much less time-
dependent.14 Thus, PCI is generally preferred for patients
who arrive at the hospital late after the onset of symptoms
(>3 hours). In contrast, clinical trials have shown that early
initiation of fibrinolytic therapy (within the first 2-3 hours
after the onset of symptoms) may lead to outcomes that are
similar to or better than those achieved with PCI.15,16
Risk Related to STEMI. STEMI carries a continuum
of risk, and multiple risk-prediction tools are available
for estimating both short-term (4-6 weeks) and long-term
(1-6 years) prognosis.17-19 In general, the higher the esti-
mated risk of mortality with fibrinolysis, the greater the
survival benefit of PCI.20 The SHOCK (Should We Emer-
gently Revascularize Occluded Coronaries for Cardiogenic
Shock?) trial demonstrated that 1-year survival rates for
patients with cardiogenic shock were better with early cor-
onary revascularization (53%) than with no or late revas-
cularization (66%).21 Observational data from the National
Registry of Myocardial Infarction suggest that PCI is supe-
rior to fibrinolysis for patients with congestive heart failure
(CHF) of Killip class II or higher.22
Availability of Skilled PCI Laboratory. The 2005
ACC/AHA/SCAI (Society for Coronary Angiography and
Interventions) guideline update for PCI defines the condi-
tions that must be met if physicians are to capitalize on the
advantages of PCI. One of these conditions is the avail-
ability of a skilled PCI team, defined as one that performs
at least 75 PCI procedures per year, at least 11 of which are
primary PCI procedures for STEMI. Another condition is
the availability of an appropriate laboratory, one in which
at least 200 PCI procedures are performed annually, at least
36 of which are for STEMI.23 Additional requirements in-
clude the availability of cardiac surgery (rapid transfer is
acceptable in some cases) and round-the-clock coverage
with a skilled staff. If these criteria are not met, the time
0-2 >2-3 >3-4 >4-6>6-12
Time (h)
No. of patients
Multivariate OR
0.77-1.27 0.91-1.50
0.88-1.45 0.92-1.54
P value
.21 .17
Multivariate-adjusted odds
of in-hospital mortality
0-6061-9091-120121-150 151-180
Time (min)
No. of patients 2230
Multivariate OR
0.87-1.48 0.89-1.49 1.08-1.84 1.23-2.14 1.25-2.08
.35.29 .01
P value
<.001 <.001
Symptom onset–to-balloon timeDoor-to-balloon time
FIGURE 3. Relationship between time intervals and mortality in patients with ST-segment elevation myocardial infarction who are undergoing
primary percutaneous coronary intervention. Error bars indicate 95% confidence intervals (CIs). Open circle indicates reference value. OR =
odds ratio.
From JAMA,11 with permission. Copyright 2000, American Medical Association. All rights reserved.
TABLE 3. Assessment of Reperfusion Options
for Patients With STEMI
Fibrinolysis is generally preferred
Early presentation (≤3 h from symptom onset and delay to PCI)
Primary PCI is not an option for the following reasons
Catheterization laboratory occupied/unavailable
Vascular access difficulties
Lack of access to a skilled PCI laboratory
Delay to primary PCI
Door-to-balloon time minus door-to-needle time is >1 h
Medical contact–to-balloon time or door-to-balloon time is >90 min
Primary PCI is generally preferred
Skilled PCI laboratory available with surgical backup
Medical contact–to-balloon time or door-to-balloon time is ≤90 min
Door-to-balloon time minus door-to-needle time is ≤1 h
High risk from STEMI
Cardiogenic shock
Killip class CHF ≥3
Contraindications to fibrinolysis, including increased risk of bleeding
and ICH
Late presentation (>3 h after symptom onset)
Diagnosis of STEMI is in doubt
CHF = congestive heart failure; ICH = intracerebral hemorrhage; PCI =
percutaneous coronary intervention; STEMI = ST-segment elevation myo-
cardial infarction.
From J Am Coll Cardiol,4 with permission from Elsevier.
Page 5
Acute coronAry SyndromeS, PArt II
Mayo Clin Proc. • November 2009;84(11):1021-1036 • www.mayoclinicproceedings.com
For personal use. Mass reproduce only with permission from Mayo Clinic Proceedingsa
required to transport the patient to a skilled facility is a fac-
tor in determining the appropriate strategy. According to the
ACC/AHA guidelines, fibrinolytic therapy is preferable to
PCI if the estimated difference between the door-to-balloon
time and the door-to-needle time is greater than 1 hour.4,5
Contraindications to Fibrinolysis. Primary PCI is the
preferred strategy for patients with absolute or relative con-
traindications to fibrinolysis (Table 1). For patients who are
at high risk of bleeding complications, especially intracere-
bral hemorrhage (ICH), PCI should be strongly considered.
If PCI is unavailable, the benefit of fibrinolysis should be
balanced against the risk of bleeding.
PrehosPital FibrinolytiC theraPy
A meta-analysis of 6 randomized trials comparing pre-
hospital and in-hospital fibrinolytic therapy for acute MI
showed that prehospital fibrinolysis significantly decreased
all-cause hospital mortality rates (odds ratio, 0.83; 95% con-
fidence interval, 0.70-0.98).24 The estimated time to fibrin-
olysis was 104 minutes for the prehospital group and 162
minutes for the in-hospital fibrinolysis group (P=.007).
The CAPTIM (Comparison of Angioplasty and Prehos-
pital Thrombolysis in Acute Myocardial Infarction) trial
directly compared the outcomes of 840 patients treated
with prehospital fibrinolysis or primary PCI within 6 hours
of the onset of STEMI. The results showed no significant
difference in the incidence of the primary end point (a
composite of death, nonfatal reinfarction, and nonfatal dis-
abling stroke) at 30 days between the group treated with
prehospital fibrinolysis (8.2%) and those treated with pri-
mary PCI (6.2%).25
The ACC/AHA guidelines state that it is reasonable to
initiate prehospital fibrinolytic therapy if a physician is
present in the ambulance or if the emergency medical ser-
vices system provides full-time paramedics who have the
equipment necessary for performing and transmitting the
results of 12-lead ECG (class IIa recommendation).4
Nitroglycerin (NTG) is intended primarily to relieve isch-
emic pain for patients with STEMI; it may also act as a
vasodilator for patients with associated LV failure. The
GISSI-3 (Third Gruppo Italiano per lo Studio della So-
pravvivenza nell'Infarto Miocardico) trial and the ISIS-4
(Fourth International Study of Infarct Survival) trial found
that NTG had no beneficial effect on mortality rates among
patients with suspected MI.26,27 The standard dose of NTG
is 0.4 mg, taken sublingually every 5 minutes for a total of
3 doses. If this does not relieve chest discomfort, intrave-
nous (IV) NTG can be administered.
The updated guidelines contain a class I recommendation
for the use of morphine in managing the pain associated
with STEMI5; however, for the pain associated with UA/
NSTEMI, the recommendation for morphine has been
downgraded to class IIa.
The administration of nonsteroidal anti-inflammatory
drugs (both nonselective and cyclooxygenase-2 selective
agents, except for aspirin) should be discontinued when a
patient presents with STEMI, and these drugs should be
avoided during the period of hospitalization because they
are associated with cardiovascular risks.5
b-Blockers should be administered to patients with STEMI
regardless of the planned reperfusion strategy. b-Blockers
decrease the rates of recurrent ischemia and reinfarction
among patients receiving concomitant fibrinolytic thera-
py.28,29 In a recent study of patients treated with either fi-
brinolytic therapy or PCI, b-blockers substantially reduced
the rates of all-cause mortality, cardiovascular mortality,
and recurrent nonfatal MI.30
The 2007 update to the ACC/AHA STEMI guidelines
recommends that oral b-blocker therapy be initiated within
the first 24 hours after the onset of symptoms for all pa-
tients without contraindications such as heart failure (HF),
evidence of a low-output state, increased risk of cardiogen-
ic shock, or other relative contraindications to b-blockade,
including a PR interval of more than 0.24 seconds, sec-
ond- or third-degree heart block, active asthma, or reactive
airway disease (class I).5 It is reasonable to administer IV
b-blockers to patients who are hypertensive at the time of
presentation (class IIa). Greater caution has been suggested
with the early use of IV b-blockers, because the COMMIT
(Clopidogrel and Metoprolol in Myocardial Infarction
Trial) trial31 found that their use was associated with an
increased risk of cardiogenic shock among patients with
any of the following features: age 70 years or older, sys-
tolic blood pressure lower than 120 mm Hg, sinus tachy-
cardia of 110 beats/min or higher, heart rate lower than 60
beats/min, or increased time since the onset of symptoms
of STEMI.
CalCium Channel bloCkers
Verapamil substantially reduced the rates of mortality and
major events among patients who had MI and were not in
HF.32 Diltiazem was associated with a statistically signifi-
cant reduction in cardiac events at 2 years among patients
without pulmonary congestion.33 The ACC/AHA guidelines
state that it is reasonable to give verapamil or diltiazem to
patients with STEMI for whom b-blockers are ineffective
or contraindicated for relief of ongoing ischemia or control


text:
555-22520 - LED Color Light Bar with DMX Battery Operated
Mega Go Flood Bar
The ADJ Mega Go Flood Bar is a 19-inch (50cm) rechargeable lithium battery powered LED linear fixture that offers the creativity of RGB color mixing for stage or wall washing. It has a 120-degree beam angle, plus the freedom to set up your fixtu...
Mfr Name: American DJ
Mfr Number: MEG206
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555-22530 - LED Blacklight Bar 10 X 1W LEDs
The LED UV GO is a member of the popular ADJ "Go Series" of battery powered products. The LED UV GO features 10x 1-watt UV LED's, plus a built-in rechargeable lithium battery that will keep a charge for up to 8 hours (full on) from a full, single charge...
Mfr Number: LED039
310-0137 - Printrbot Go V2 Medium 3D Printer
The Printrbot Go v2 comes in two sizes, Medium and Large. Each model features a folding design with removable cover and handle. Boasting multiple extruders on both models, the Go v2 is a large format printer for users with a wealth of 3D printing experience and ...
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310-0138 - Printrbot Go V2 Large 3D Printer
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555-19705 - LED Par 64 AC or Lipo Battery Powered
Mega Go Par 64
The ADJ Mega Go Par 64 is a rechargeable lithium battery powered low profile LED Par Can that offers the creativity of RGB color mixing for stage or wall washing, plus the freedom to set up your fixture where ever you wish without the restrictions ...
Mfr Number: MEGA GO PAR 64
35-4755 - USB Flip Up - Clips to Laptop Go Mic Portable Microphone
Dual VHF Wireless Microphone System
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The Fridge Rover, Wind up this little rover and let it go on the fridge. It will grip and go up and down on the fridge surface, defying the force of gravity. The wheels grip the surface because the magnet pulls the Fridge Rover firmly against the fridge.
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Goo Gone® is a quick and fast working solution to remove adhesive, chewing gum, grease, tar, stickers, tree sap, labels, tape residue, oil, blood, lipstick, mascara, shoe polish, crayon, wax and even bumper stickers! It leaves no residue behind and contains no har...
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text:
ALBUQUERQUE, N.M. (AP) - A pair of Republicans are headed for a showdown in next week's primary seeking the opportunity to challenge Democratic U.S. Sen. Tom Udall, a popular incumbent making his first bid at re-election.
Allen Weh, a 71-year-old retired Marine colonel and wealthy aerospace entrepreneur from Albuquerque, is a veteran of New Mexico politics. A former New Mexico Republican Party Chairman, Weh also made a run for governor four years ago, coming in second behind Gov. Susana Martinez in a five-way primary.
Running against him in Tuesday's primary is 34-year-David Clements of Las Cruces, an attorney and former Dona Ana County GOP chairman making his first run at elected office on a shoestring budget, building grassroots support as he travels the state in a well-used Isuzu truck.
Weh says he is running "because Washington is broken."
"I think where I am in life, instead of kicking back, I felt like I could make a difference," he said in a recent interview. "One man can't solve all the nation's problems, but a person who is really committed to making a difference can effect some positive change."
Weh also said the Senate needs fewer lawyers and more veterans. Udall and Clements are both lawyers.
Clements, who has taken a leave from law to travel the state drumming up support, said he decided to run because "my wife and I, like a lot of people, are jaded. We feel like there is no representation at the federal level."
Both Clements and Weh cite federal spending and the Affordable Care Act as key issues, although they differ on health care. Clements wants a full repeal. Weh says he would be open to tweaking the new law, saying the nation's health care system has been a mess for years.
Clements has been running since October, and has raised and spent about $40,000. Weh joined the race in January and has raised nearly $600,000, including $217,000 of his own money.
Clements has substituted shoe leather for cash, and garnered enough grassroots support to make a surprisingly strong showing at the state GOP's pre-primary convention in April, where he won 47 percent of the ballots.
Whoever wins the primary, however, has a tough uphill battle. A recent computer model of races conducted for The New York Times says Udall is one of 14 Senate incumbents with a 99 percent chance of retaining their seats.
Weh and Clements's response: The New York Times is a long way from New Mexico.
But University of New Mexico political science professor Gabriel Sanchez agrees the candidates have little chance of unseating Udall, a popular former congressman with $3 million cash on hand, even if popular Republican Gov. Susana Martinez wins a big victory in her re-election bid as many expect and that attracts more GOP-leaning voters to the polls.
"First, New Mexicans have shown consistently that their voting behavior differs in federal and state level races, with many instances where the majority of voters supported a GOP presidential candidate but a Democratic governor or other state wide candidate - and vice versa," Sanchez said.
In other primary races, two political newcomers are vying for the Republican nomination for the 1st Congressional District seat currently held by Democrat Michelle Lujan Grisham. Richard Priem, a 64-year-old businessman and retired Army veteran from Albuquerque, is running against 66-year-old Mike Frese, a scientist and small business owner from Corrales.


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[quote:Lion of judah 26530436:MV8yMDQ5MzE5XzM0NDQyNDkzXzE4REVGNzc0] [quote:Anonymous Coward 1481707:MV8yMDQ5MzE5XzM0NDQyMDk2XzZGQkRBQjI3] [quote:Lion of judah 26530436:MV8yMDQ5MzE5XzM0NDQyMDY4X0Y5RDlBRUY=] [quote:Anonymous Coward 1481707:MV8yMDQ5MzE5XzM0NDQyMDMzX0U1MzhCNzIy] let ye know because thy speaketh like thy haveth biggest cock uppeth the asshole.. fuck you fool anyone can talk like they are fucking shakespear but your words are empty and your delusion grand.. run along now cause the bs your sellin i aint buyin.. [youtube]http://www.youtube.com/watch?v=2frJ3e0hxPE&feature=related[/youtube] [/quote] let ye know cause you have not heeded the warning given ye shall suffer without comfort from the good spirit. the wicked shall no longer betolerated, the time is coming spoken that people will seek death and shall not find it. let ye know that ye shall arrive in hell early for even on the first day shall satan take many. [/quote] hahaha idiot unlike your deluded ass satan himself bows down to me.. for i am.. yet you are just a wanna be try hard bat shit crazy terrorist motha fucka.. your lucky your not locked up you crazy fucker.. so snap out of it and realize just how fried you are.. [/quote] leave this thread ye are only making your future worse. i am not here to entertain those whom are not saveable, I am here only for those whom names are in book of life. which we saith ye are not. if to many show us wickedness we shall not reply. [/quote]
Original Message
Let ye know now the true Good Shepard that ye seek.
Let a mystery be given unto ye to know the times in which I shall do these things.
1 And I saw when the Lamb opened one of the seals, and I heard, as it were the noise of thunder, one of the four cbeasts saying, Come and see.
2 And I saw, and behold a white horse: and he that sat on him had a bow; and a crown was given unto him: and he went forth conquering, and to conquer.
3 And when he had opened the asecond seal, I heard the second beast say, Come and see.
4 And there went out another horse that was red: and power was given to him that sat thereon to take apeace from the earth, and that they should kill one another: and there was given unto him a great sword.
5 And when he had opened the third seal, I heard the third beast say, Come and see. And I beheld, and lo a black horse; and he that sat on him had a pair of balances in his hand.
6 And I heard a voice in the midst of the four beasts say, A measure of wheat for a penny, and three measures of barley for a penny; and see thou hurt not the oil and the wine.
7 And when he had opened the fourth seal, I heard the voice of the fourth beast say, Come and see.
8 And I looked, and behold a pale horse: and his name that sat on him was Death, and Hell followed with him. And power was given unto them over the fourth part of the earth, to kill with asword, and with hunger, and with death, and with the beasts of the earth.
Let it be known the first four seals to be broken also represent the four horsemen of the apocalyse, let it be known the whitehorse represents the deciever whom shall bring forth the world war to come he that is the Antichrist the king over the antichrists.
Let it be known that the world war will bring pestilence, famine and death. That those whom die in it shall be taken to Hell for they died in their sins. Death comes and Hades follows soon after.
Let ye know also the ecomony shall collapse for a time and a new system come out of the ruins having power of the first system of beast, in which money shall no longer be the way but a new system shall come of simlar design.
Behold I am He whom spoke these things to John the revelator and showed him the things to come and now I translate it for you so ye may know when I begin to break the Seal. Know this all those whom have pretended to be Me shall have great woes in times to come as the Seals are broken and if they repent not Hell shall have them. Many have spoken in my name without my authority and corrupted the field with their poisons.
I am the Truth the Light and the Life no man women nor child goeth unto the Father but by me, I am the bridge to the eternitys there is no future beyond Hell outside coming through me. Man is bound and destined for condemnation and eternal suffering I have offered the world and those whom would believe and follow the example and be humble in doing so a alternative outcome.
Hell is all around you your universe is the realm of darkness the Light holds it back for a time, the spirit is protected while in the body but the body is also corrupt and binding to the spirit. Many whom have died did not go to good places very few even make it to the place of waiting and none but a few have seen Heaven.
Ehyeh Esher Ehyeh
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Chanel Rouge Noir (18) Le Vernis ($27.00 for 0.40 fl. oz.) is described as a "black red." It's a deep, dark purpled berry with a cream finish. It had mostly opaque color coverage with a slightly translucent, stained-like quality to it that made it seem very rich on the nail. The consistency wasn't too thick or too thin, so it applied easily. I get around seven days of wear with Chanel's formula with minor tip wear but no chipping. Color Club Fashion Moment (P)(100% similar). MAC Purple Majesty (LE, $16.00)(100% similar). Cult Nails Lamestain (P, $12.00)(100% similar). Tom Ford Beauty Black Cherry (LE, $32.00) is darker (95% similar). MAC Blueblood (LE, $16.00) is warmer (95% similar). Urban Decay Wrecked (LE) is warmer (95% similar). Zoya Anja (P, $9.00) is cooler (95% similar). China Glaze Velvet Bow (LE, $7.50) is lighter, warmer (95% similar). Rescue Beauty Lounge Drifter (LE, $20.00) is warmer (95% similar). China Glaze Naughty & Nice (LE, $7.50) is darker (95% similar). Essie Shearling Darling (P, $8.00) is warmer (90% similar). Deborah Lippmann Single Ladies (LE, $19.00) is warmer (90% similar). See comparison swatches / view dupes side-by-side.Read Full Review
Chanel Rouge Noir Illusion d'Ombre Eyeshadow
Chanel Rouge Noir (857) Illusion d'Ombre Eyeshadow ($30.00 for 0.20 fl. oz.) is described as a "black red." It's a muted, dark plum with warmer undertones and fine gold and purple shimmer. Burberry Mulberry (24) (P, $29.00) is warmer (95% similar). Too Faced Pop (P, $16.00) is warmer (95% similar). Make Up For Ever I834 Grape (P, $21.00) is lighter (95% similar). Cle de Peau Stellar Gaze #4 (P) is lighter (95% similar). Dior House of Pinks #5 (LE) is less shimmery, darker (95% similar). Anastasia Aubergine (LE, $12.00) is lighter (95% similar). MAC Fabulous Three #3 (LE) is lighter (95% similar). Smashbox Cabernet (LE) is less shimmery, darker, more muted (90% similar). Stila Garnet (P) is warmer (90% similar). Tarte Show Plum Love (LE) is darker (90% similar). Makeup Geek Sensuous (P, $6.00) is warmer (90% similar). MAC Rare Find (LE, $21.00) is darker, cooler (90% similar). Kat Von D Wonderland (LE) is darker (90% similar). MAC Rich Core (P, $20.00) is lighter, cooler (90% similar). MAC Universal Appeal (LE, $21.00) is lighter (90% similar). Tom Ford Beauty Enchanted #4 (LE) is less shimmery, darker (85% similar). Urban Decay Remix (LE, $18.00) is lighter, cooler (85% similar). Sugarpill Countess (P, $13.00) is more shimmery, brighter (85% similar). NYX Punk Heart (P, $6.00) is more shimmery, lighter (85% similar). Urban Decay Uncut (P, $18.00) is more shimmery, cooler (85% similar). Top 20 dupes listed, see the rest. See comparison swatches / view dupes side-by-side.Read Full Review
Chanel Rose de Lune Glossimer
Chanel Rose de Lune Glossimer ($30.00 for 0.20 fl. oz.) is described as a "shimmering soft pink." It's a sheer, light-medium pink with warm undertones and lots of pink and white shimmer/sparkle. Dior Dolly Pink (453) (P, $29.50) is more shimmery (95% similar). Urban Decay Trashed (P, $19.00) is less shimmery (95% similar). Revlon Pinkissimo (P, $7.99) is warmer (90% similar). Bobbi Brown Pink Tulle (P, $24.00) is less shimmery (90% similar). Make Up For Ever 203P Golden Pink (P, $19.00) is less shimmery, warmer (90% similar). NARS Baby Doll (P, $26.00) is more shimmery, more pigmented (85% similar). Surratt Beauty Soigne (P, $32.00) is more shimmery (85% similar). MAC Domestic Diva (LE, $15.00) is darker, warmer (85% similar). Dior Swan (263) (P, $35.00) is less shimmery, lighter (85% similar). Maybelline Blushing Petal (505) (P, $8.99) is lighter (85% similar). Becca Guava/Opal (P, $24.00) is more pigmented, warmer (85% similar). See comparison swatches / view dupes side-by-side.Read Full Review
5 Gorgeous Fall Lipglosses (2015 Edition)
It can be harder to find quality glosses in deeper hues, but here are some of my favorites!
- Bobbi Brown Naked Plum — pink-shimmered plum
- NYX Spice Cake — a pink-plum cream
- Urban Decay Vice — a pink-berry
- Chanel Crushed Cherry — a deep red
- Revlon HD Carnelian — a bright, deep red
Chanel La Merveilleuse Rouge Allure Velvet & Rouge Noir Rouge Allure Lipsticks
Chanel La Merveilleuse (347) Rouge Allure Velvet ($36.00 for 0.12 oz.) is described as an "intense raspberry red." It's a bright, fuchsia pink with subtle blue undertones that ends up appearing almost warm-toned. It had a mostly matte finish. The texture was velvety smooth and glided right on with even, mostly opaque color payoff. It was comfortable to wear for four hours, and then it felt a little drying for the next two (six hours in total). MAC All Fired Up (P, $17.00) is warmer (90% similar). Colour Pop Toucan (P, $5.00) is lighter, warmer (90% similar). Maybelline All Fired Up (P, $7.99) is lighter, brighter, warmer (85% similar). Revlon Vivacious (120) (P, $8.99) is lighter, glossier (90% similar). Estee Lauder Jealous (P, $30.00) is lighter, warmer (85% similar). Colour Pop Mars (P, $6.00) is less glossy (85% similar). Kat Von D Bachelorette (P, $21.00) is darker, warmer (85% similar). See comparison swatches / view dupes side-by-side.Read Full Review
Chanel Coups de Minuit Joues Contraste Lumiere
Chanel Coups de Minuit (12) Joues Contraste Lumiere ($45.00 for 0.09 oz.) is described as a "peach beige." It's a light, muted peachy-beige with warm undertones and a slight rosiness paired with a soft sheen. NARS Devotee (LE, $29.00) is more shimmery (95% similar). bareMinerals The Five Star Treatment (LE, $26.00) is lighter (90% similar). MAC Sparkling Rose (LE, $28.00) is darker, warmer (90% similar). See comparison swatches / view dupes side-by-side.Read Full Review


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Castanet Events > Trade Shows
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Wednesday Night Open Mic
Wednesday, October 7, 2015
Fleetwood Public House
Joshua Smith (The Trips), Kieran McCaffrey (Wild Son) and Jeff Pike (Windborn) are your rotating hosts for October 2015's jam...
Jam Night
Wednesday, October 7, 2015
Grateful Fed Bar & Grill
Come on down and share the stage with some homies or take it on all by yourself, its up to you. Just make sure to show up...
Vernon Farmers Market
Thursday, October 8, 2015
Kal Tire Place
EVERY MONDAY & THURSDAY RAIN OR SHINE APRIL 16 TO OCTOBER 29 8:00 AM - 1:00PM Visit website for full details and...
Thursday, October 8, 2015
Freddy's Brew Pub
Enjoy karaoke after 8pm with Stan the Man!
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Thursday nights is Open Mic night at O'Flannigan's Pub. Bring your instruments, sign up and then hit the stage and jam out...
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PRNewsFoto/Chevron Energy Solutions
The city of Dublin, California is expected to save nearly $14 million in energy savings over its 25-year long sustainability program, according to Chevron Energy Solutions.
Upgrades include:
"This project has enabled us to take a significant step forward in achieving our ambitious environmental goals, while at the same time significantly decreasing the city's energy costs," says Mayor Tim Sbranti.
More information can be found at the city of Dublin's website.
Visit our website today to learn about the design flexibility of a Morton building and the endless possibilities of partnering with our designBUILD team.
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The BUILDINGS brand serves commercial building owners and facilities management professionals for commercial real estate. BUILDINGS brand offers its audience of commercial building owners and facilities management professionals information on the development, construction, modernization, management and operations of commercial buildings as well as the products and services needed to support such commercial buildings and facilities management. With the information we offer, we help facilities management professionals make smarter decisions for commercial buildings.
BUILDINGS delivers relevant and timely information that equips commercial building owners and facilities management professionals with the knowledge and support they need to solve critical issues; energy management, lowering operating costs, new products for commercial buildings, security, and much more.
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You also have the opportunity to maintain your commercial buildings certifications with BUILDINGS. Continuing Education Units are available with approved content from BOMI.
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Thug Notes
Thug Notes: The Book
Earthling Cinema
8-Bit Philosophy
Boss Bitches of History
Other Stuff
Thug Notes
Thug Notes: The Book
Earthling Cinema
8-Bit Philosophy
Boss Bitches of History
Other Stuff
8-Bit Philosophy
I Game, Therefore I Am.
Watch Now
What is 8-Bit Philosophy?
Watch the first episode to learn more:
Welcome to the official site of 8-Bit Philosophy, the show where video games make you smart. Want to learn about Marxism through Mario Bros.? Or Plato's Allegory of the Cave through Zelda? Or how about the Myth of Sisyphus through Donkey Kong? 8-Bit Philosophy is your go-to resource for learning about fundamental philosophy concepts through the lens of classic 8-bit video games.
Get introduced to philosophers including Jean-Paul Sartre, Niccolò Machiavelli, Friedrich Nietzsche, Martin Heidegger, Socrates, Zeno of Elea, René Descartes, Søren Kierkegaard, Immanuel Kant, and more!
Pick an Episode to Watch
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Does Money Own You?
8-Bit Philosophy
Is Batman Just?
8-Bit Philosophy
Why Do We Take Selfies?
8-Bit Philosophy
Is Boredom Worse than Death?
The Philosophy of Bioshock
Is Gender Real?
Are Psychedelic Drugs
GOOD For You?
Is Technology Killing Your Creativity?
Should Animals
Have Human Rights? (Pokémon + Speciesism)
Do We Crave Fascism?
(Freud & Psychoanalysis)
Can We Trust The Media?
Is God Useful?
Is The American Dream A Sham?
Does Christianity Make Us Weak?
Why Do Haters Hate?
Is Capitalism Bad For You?
Does Privilege Matter?
What Is Evil?
Do We Need Government? (The Social Contract)
Who Was Socrates?
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Fanfic Recs: RahXephon
Proof that the remaining 10% is worth dying for here: These are recommendations made by Tropers for RahXephon Fan Fics, all of which have to be signed to stay on the page. Feel free to add a fanfic of your own to the list, but remember to use the template found here. Do warn when a fanfic may head into non-canon territory. Some people just don't like it, and as we all know, Shipping is Serious Business. You can also add to the current recommendations if you want. Refrain from posting Conversation in the Main Page though; that goes in the discussion page.
Actual StoriesThe Dandelion Girl by Robert F. Young
- Recommended by Sneebs
- Synopsis: The short story which partially inspired the series creator. A romantic science fiction tale, it is unfortunately a product of its time (with how the female character is written and all), but it nevertheless makes me teary-eyed whenever I reread it. A class,y must-read piece.
- Comments:
Authors and WebsitesNone yet.
General FicsNone yet.
Shipping FicsFairy Tale in Monochrome by Sabriel14
- Recommended by Yamcha
- Pairings: Makoto Isshki / Quon
- Synopsis: A completed short story showing how a developing relationship between the resident Smug Snake and Waif Prophet would work.
- Comments: As insane as this premise sounds, the writer handles the situation well, taking a cracky premise and making it work for for both players without causing either of them to break character. Sabriel14's efficient prose works its wonders over the brief story, and are a treat to read. Highly recommended.


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Kim Kardashian
Happy Wednesday! We have an all new reality TV star photo post for you! See what your favorite stars have been up to for the past week.
Above: Heidi Klum works the red carpet at the MTV EMA's in Germany, where Heidi served as the hostess.
Below you'll find Bethenny Frankel and Jason Hoppy on the go, Nicole Murphy and Jessica Canseco shooting scenes for the new season of Hollywood Exes, Kim Kardashian making interesting fashion choices, as always, LuAnn de Lesseps runs errands without makeup and so much more! .
Photo Credit: Lia Toby/WENN
PHOTOS: Kardashians Launch Their Kollection And Cause A Stampede! Robert Finally Launches Sock Line!
The Kardashian sister trio is complete again. Khloe Kardashian-Odom finally joined her sisters, Kim and Kourtney, over in London this weekend (after finishing up her X Factor duties). Khloe arrived just in time for the official launch of the Kardashian Kollection for Dorothy Perkins at the Westfield Shopping Centre.
London LOVES the Kardashians, y'all. Like LOVES them. Loves them so much they caused a stampede at the mall this weekend! If you take a peek in the gallery (second page) below you'll see shots of the sea of madness! Police had to talk to the crowd and worked hard to keep things under control. There were a few reports of injuries and girls fainting. The shopping center let people camp overnight before the line opened up at 7 a.m. Media outlets report that "when the number of fans reached 10,000, the situation became chaotic."
That is crazy. Overnight camping for a meet and greet / clothing line launch? I think someone lied and told them it was a Twilight premiere.
Kim Kardashian and sister Kourtney are in London this week kicking off their new Kardashian Kollection for Dorothy Perkins, while Khloe is busy with her new X Factor hosting gig.
Kim and Kourt headed over to a launch party last night at Aqua and then Kim ditched out to go grab dinner at Hakkasan restaurant with her soon-to-be-husband-three, Kanye West. If you take a peek in the photo gallery, you'll see Kanye almost eat pavement.
Random observations: is Kim getting spraytan-happy again? Look at how white her hand is compared to her legs. And this one may show just how much time I spent watching videos on MTV back when they actually played music videos (or any music for that matter), but the first thing that came to mind when I saw Kourtney's tights and sheer sleeves were the twins who always wore polka dots in the Cinderella (hair band, not the princess) videos back in the day. No? It's just me?
REPORT: Khloe Kardashian And Lamar Odom Headed For Divorce? Plus, Kim Kardashian Wants To Be Friends With Kate Middleton!
When it comes to Kardashians one can expect everything is a PR spin machine manufactured by Kris Jenner. In the latest rumor to erupt on the scene more reports are emerging that Khloe Kardashian and Lamar Odom are in major marriage trouble!
In Touch Weekly touts the couple is on the brink of divorce in their newest cover story, claiming Khloe is begging Lamar to go to "couples therapy – or else!" Khloe is apparently "heartbroken" that her marriage is in such trouble.
"He's been so distant and stressed with basketball lately," an insider reveals. "She doesn't know what else to do." In a desperate bid to save their marriage Khloe is going to "make-or-break" efforts because "she's reached her breaking point in a marriage that has been struggling for months."
Oh it's a sad little group of photos this week! Between the storms in the East and the election, our reality TV stars laid low and hid from cameras this past week (shocking, I know)!
NeNe Leakes is looking fab and fierce as she attends the Ebony Power 100 Gala in NYC.
Below you'll also find Toni Braxton, Kim Kardashian, Bethenny Frankel, DJ Pauly D and more!
Photo Credit: D. Salters/WENN.com
I honestly think that if the Kardashians had to stay out of the spotlight for even just a day, they would shrivel up or something. Don't they get exhausted chasing fame? As if I don't already know the answer to that! They are never, ever going to go away.
Kim, Kourtney, and Khloe are gracing the cover of this week's print edition of Us Weekly, setting the record straight on all of the relationship rumors
planted by mom Kris Jenner to keep her girls relevant swirling around. The magazine touts an exclusive, but it's really just a bunch of sound bites and sources and quotes. It doesn't appear that the sisters were actually interviewed for the article. Shocking, I know!
Catch up with your favorite reality TV stars with an all new photo post!
Above: The Real Housewives of Beverly Hills star Kyle Richards attends a 'Shop All Things Pink' event for breast cancer awareness and research, at Alene Too Regency Court in Boca Raton, Florida.
Below you'll find favorites like La La Anthony, Lisa Vanderpump, Joanna Krupa, Kourtney Kardashian, JWoww showing off her nerdy side, Christina Aguilera in a trashy Halloween costume, Jill Zarin hitting the tennis court and more!
Photo Credit: WENN.com


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IBM Software Engineering Intern Interview Questions
Interview Experience
Interview Experience
Getting an Interview
Getting an Interview
Interview Difficulty
Interviews for Top Jobs at IBM
- Software Engineer (191)
- Consultant (111)
- Software Developer (85)
- Associate Systems Engineer (76)
- Intern (71)
- IT Specialist (69)
- Financial Analyst (67)
- Senior Consultant (67)
- Project Manager (59)
- Managing Consultant (54)
- Business Analyst (45)
- Sales Specialist (42)
- Senior Software Engineer (36)
- Systems Engineer (35)
- Applications Developer (31)
- SAP Consultant (29)
- Engineering (22)
- Systems Administrator (22)
- Senior Systems Engineer (20)
- IT Consultant (19)
- Technical Support Engineer (18)
- Staff Software Engineer (18)
- Engineer (18)
- Sales (17)
- Consulting By Degrees (17)
- Marketing Manager (16)
- Senior Managing Consultant (16)
- Advisory Software Engineer (15)
- Sales Representative (15)
- Manager (13)
13 Candidate Interview Reviews Back to all InterviewsSort: Popular Date Difficulty
Software Engineer Intern Interview
Kind of disappointing process to be honest. Applied through my school job board, got an email about an interview. When they called me, it was a call conference with about 5 members of the team, they asked no technical questions, just stuff about my background and offered information about the position. After that, I just got an email and a call from a manager with a job offer. I think this approach lets incompetent interns to get onboard.
Salary based on credit hours
Other Interview Reviews for IBM
Helpful (2)
Software Engineering Intern InterviewNo OfferDifficult Interview
I applied online. The process took 5 days. I interviewed at IBM.
The first interview I had was a 30 minute purely technical interview done via telephone. Asked questions mostly pertaining to Java and OO programming. Not too hard. Called back for a second interview that was not planned at all. He called me and it was an hour and half long. Many more java and OO questions. Asked about some Big-O notation and sorting algorithms. Some more obscure stuff. Asked about SQL knowledge.
Software Engineer Intern InterviewNo Offer
I applied through college or university. The process took 4+ weeks. I interviewed at IBM.
I submitted an application on my school's career website and got an on campus interview. Was not asked many technical questions.
Interview Questions
- I was asked if I knew a lot of technologies that were on my resume. Seemed pointless. Answer Question
Software Engineer Intern InterviewNo OfferPositive ExperienceAverage Interview
I applied through college or university. The process took 2 weeks. I interviewed at IBM in March 2014.
Set up a phone interview after on campus career fair
Interview Questions
- Questions about my projects and courses. Answer Question
Software Engineer Intern InterviewNo OfferAverage Interview
I applied through college or university. I interviewed at IBM in October 2013.
Met at a career fair, was contacted by a recruiter to schedule on-site interview. I had two interviews one with the managers of the team and one with the technical team. Managers interview was mostly about my background and how I would handle behavioral situations. Technical team just asked me about my technical background and different challenges I have had in my classes. I thought there would be coding or programming based questions but there weren't.
Helpful (3)
Software Engineer Intern InterviewAccepted OfferPositive ExperienceEasy Interview
I applied through college or university. The process took a week. I interviewed at IBM (Austin, TX).
I was recruited by a professor who had connections within IBM and a division was looking for a software developer intern. I had a phone interview and was hired. The technical questions were very simple (if you know the CLR Algorithm book).
As an intern / co-op there isn't much negotiation, the salary is based on % completion toward your degree.
Software Engineer Intern InterviewNo OfferNeutral ExperienceAverage Interview
I applied online. The process took 2 weeks. I interviewed at IBM (San Jose, CA) in March 2011.
I got a message from a hiring manager in IBM that he selected me from thousands of resume and would like to talk to me in phone. Then we set up a phone interview about half week later. Then the manage came and chatted with me about half an hour. The talk was mainly about my past project experience on my resume. After that, he asked me to go to IBM SVL to see their lead. In SVL I met their project lead and talk about half hour. He introduced their project and ask me some questions about my experience that matched their project technology. what I can remember is some technilogy about JAVA, Jboss and JMS. My answer of Jboss part was bad, I guess that's the reason why I was rejected. Then about half week later I got a rejection letter. I felt a little surprise since I talked happily with IBM guys and I haven't been asked to a technical interview yet.
Interview Questions
- Tell me your experience of using Jboss? Answer Question
Helpful (1)
Software Engineer Intern InterviewNo OfferNeutral ExperienceAverage Interview
I applied through an employee referral. The process took 1 day. I interviewed at IBM (Beaver, OR) in March 2010.
They ask about reserve a linked list, some basic C questions including inline functions, static and non static, difference between new and allocate in C
Interview Questions
- Reserve a linked list 1 Answer
- What is inline function Answer Question
Software Engineering Intern InterviewAccepted Offer
Contacted by email to set up a phone interview. The first was an HR interview, asked general problem solving questions and some personality questions. The next day I heard back, set up a second technical interview (phone) with an HR manager and 3 members of different teams. Did a IQ test of sorts which involved mainly number sequences and math, but was told this would not affect my results; it was only for IBM records (they do not inform you of your results). Got an answer after a week.
Interview Questions
- HR interview: Without using a scale or any weight measuring instrument, calculate the weight of a Boeing 777. Answer Question
- Technical Interview: Question regarding data structures, more specifically trees. Answer Question
Software Engineer Intern InterviewAccepted OfferPositive ExperienceAverage Interview
I applied through college or university. The process took 1 day. I interviewed at IBM (Waterloo, ON (Canada)) in May 2012.
It was fairly simple and professional. Interviewer asked me about my previous projects, things I know, and some technical questions.
Interview Questions
- Since this job was fairly junior, not too much problem solving mostly just definitions and such. What is heapsort? What is a binary tree? Answer Question
Is this helpful? The community relies on everyone sharing – Add Anonymous Interview Review


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Released: Feb 01st, 2011
Running Time: 163 Min.
Director: Uncredited
Company: Girlfriends Films, Inc.
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Genre: All-Girl
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The Big Review: Art & Design Cafe ** ½
Nearly everything is for sale at this Fort Lauderdale gallery-restaurant, from the salt shaker to the Monet salad.
By Rochelle Koff
When you dine at Art & Design Café, take a good look at your plate. Then check out the decorative salt-and-pepper shakers, even the abstract art table. Like it? Buy it. Nearly everything is for sale at the Fort Lauderdale gallery-restaurant, from the zebra-accented sugar holders to the modern paintings suspended from the ceiling.
The Vibe: You'll dine at tables placed behind flowing curtains, creating a private space -- your very own art gallery, illuminated by decorative chandeliers. If you're with a group or enjoy dining al fresco, choose the patio, where everything from floor to light fixtures to storage cabinet has been transformed into art.
What worked: Wine markups are low for a restaurant, with a limited selection ($22-$38; also being revamped) including eight by the glass.
- The nicely grilled salmon kebabs and the shrimp cocktail with four to six plump shellfish and a zesty cocktail sauce.
- The cream of pumpkin soup, a daily special, was delicious, like a bowl of pumpkin pie, though it might not appeal to those who like a savory stock.
- The Monet salad, brightened by fresh fruit and vegetables on a plate of field greens dressed in a house-made raspberry vinaigrette.
- Salmon fillet, nicely grilled, is served with parsley, mashed potatoes and sliced button mushrooms. The seared ahi tuna was a fine rendition, and a friend liked the wasabi sauce, cut with mayo, drizzled on top.
What didn't work: The veal piccata was a little chewy.
- The Romanian skirt steak was more tender, spiked with garlic and tomatoes.
- The side of new potatoes was a little dry.
Nice price: Entrees come with a side salad, two sides and a plate of breads and oil for dipping. Tuesday nights are a bargain, with a full-course dinner and classic movie for $20.
Art & Design Café, 2724 E. Commercial Blvd., Fort Lauderdale; 954-491-1007; 11:30 a.m.-9 p.m. Tuesday through Saturday. Prices: Appetizers $5-$12, pasta $6-$17, paninis $6-$7, salads $5-$11, entrees $20-$25 (include salad and two sides), desserts $7.
FYI: beer and wine; corkage $10. Classic movies Tuesday nights. AX, MC, VS.
The Big Review
- Miami restaurant review: The Continental in Miami Beach is another shining star in Starr's galaxy
- Miami restaurant review: Centro Taco sees Mexican food through a Miami lens
- Miami restaurant review: MesaMar Seafood Table swims into Coral Gables
- Miami restaurant review: Byblos in South Beach gives Mediterranean food a makeover
- Miami restaurant review: Massive menu makes Crust bite off more than it can chew
- Miami restaurant review: La Moderna in Miami Beach has a winning recipe for Italian classics
- Miami restaurant review: Red Ginger is an Asian-inspired party den in South Beach
- 20 years in, Italian restaurant Spiga stays true to form in South Beach
- Review: Four stars for exceptional Alter in Wynwood
- Review: Tom Colicchio's Beachcraft shows potential in Miami Beach


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"black boots and Black Boots" we found 4 items!
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Ariat Fatbaby Sheila $89.95 Laredo Kadi $117.00 Roper Rockstar Horseshoe $95.00 Durango Kids BT740 (Toddler) $44.99


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The process of buying a new Ford car or truck can seem overwhelming if you don't know where to begin. Edmunds.com can get you started on the right track with a convenient directory of Ford car dealerships in and around Nooksack, Washington. Compare online price quotes on the new or used car, truck, SUV, minivan, or wagon of your choice to locate the best deals. Edmunds.com makes it easy to find trusted Ford car dealers in Nooksack, saving car buyers time and money on what will be an important purchase.
Non Display Review Name "I wasn't going to stop in Bellingham to look for my "bucket list" sports car, but I'm So glad I did! I'm a single mom and went in to bargin myself. Wo"... Read more Review by: christi4


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With 1.7 million freelancers, we'll match you with the perfect talent.
The client has made the following changes to the job.
Client prefers freelancers from:
You are still able to submit a proposal for this job.
The client prefers freelancers from
a different location.
Job Description
I need a to create a simple utility app that uses an API for forex and Stock market all in real time.
This application will need to report live up to the minute information from all API's and also 1-2 extra features what I will discuss further if you are successful.
I will give full details in a private message
after I review your previous work history.
Please give me the following
1. Any Design/programming you've done
before on the iPhone, blackberry android FB all in
all in this market
2. Links to your previous applications you have done
in the iTunes App Store and any other platforms.
3 An ETA on how quick this simple app
will take to complete.
4.I Will need you to design a mockup with 3 visual demos
of what the app will look like by Sunday 6th November.
We will supply you the company logo.
I'm Looking for someone who is available
to discuss the project details with me on Skype and Finishes their work within a ti...
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In light of recent events, Beyonce's fans are not really happy about the Carter family's friendship with the Kardashian – West couple. A Change.org petition was started with the purpose of preventing Beyonce from attending Kim Kardashian's wedding.
The petition, entitled "BEYONCE CANNOT ATTEND KIM KARDASHIAN'S WEDDING," was created by John Barry, who is urging fans to sign and spread the word against Mrs. Carter attending Kim's wedding. In less than a week, the petition gathered more than 300 signatures.
Besides encouraging fans to stop Beyonce from going to the wedding, the petition also trashed the Kardashians saying, "Kim Kardashian and her disgusting family are known for their rise to fame for doing absolutely nothing." When talking about the upcoming wedding, a lot of harsh words were used to describe both the Kardashian family and the rapper marrying Kim.
"We must do all in our power to stop Beyonce from attending the god forsaken wedding," the petition read.
Barry even offered some excuses that Beyonce could use to get out of the wedding, starting with her being busy with The Mrs. Carter Show or Blue Ivy getting sick and ending with "Beyonce you always have something better to do than to attend a Kim Kardashian wedding."
After receiving 387 signatures, John Barry pulled it down saying that it was just for fun. "IT WAS A JOKE I DONT CARE IF BEYONCE GOES OR NOT SHE'S A GROWN WOMAN!! ALL OF YOUR REACTIONS HAVE BEEN FUN!! THANKS."
For fun or not, the petition got enough attention from Queen B's fans. With the event being all over the news, fans are wondering if Beyonce is going to say anything about it.
Even if the petition had been carried through, it is difficult to believe that it would have influenced the "Irreplaceable" singer in any way. Besides her husband's close friendship with Kanye West, Beyonce has also been quite supportive of Kim, publicly congratulating her, both on being a mother and on getting engaged.


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posted by Rebecca Keenan | 0 Comments
Jeffrey's Bay is the latest South African destination to have its own free Hostelworld.com pocket guide.
J-bay is a funky little seaside town in the Eastern Cape, well-known for its excellent surfing and beaches. It might be a small town but there are lots of things to see and do here, plus plenty of great restaurants and bars to check out.
In our free pocket guide for Jeffrey's Bay, I've included restaurants like 3 Fat Fish where you'll be able to get your hands on delicious calamari, bars like the Moroccan Lounge with its hilarious bar signs and attractions such as the quirky Shell Museum. I've also included a selection of things you can do for free while in town. One thing I would definitely recommend you do during your stay is to get up early at least once and watch the sunrise. As you can see from the picture here, it's a pretty spectacular sight.
So, if you're heading J-bay way make sure to check out our free Jeffrey's Bay pocket guide. For somewhere to stay in town, have a look at our list of hostels in Jeffrey's Bay.
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The Voice of Louisville Derby Magazine is now on stands. The cover story is a must-read featuring the Lawrence Family. They sit down with us to discuss a behind-the scenes-look into life under the spotlight. We also highlight the looks of Derby in our 26-page fashion spread, a look at what Churchill Downs has in store for Derby 140, and the new Angel of all Bourbons – Lincoln Henderson's Angel's Envy. And much, much more to keep your eye on the finish line.
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- Did you know you could donate your used cell phone to HopeLine, Verizon's program to help bring support and... http://t.co/53kkEDYhuN
- Our photos of the 11th Annual Pink Tie Ball are now online. http://t.co/Y0uMBbGWVV
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